How Do I Know if Rhinoplasty is Right for Me?

Rhinoplasty is a procedure that fills the nose with autologous, allogeneic tissue, or tissue substitutes to raise the external nose to improve the appearance of the nose. Rhinoplasty surgical incisions include nasal column incision and intranasal incision. The nasal incision (near the nasal column) is generally used because of the hidden incision and no traces on the outside.

Rhinoplasty

Rhinoplasty is a procedure that fills the nose with autologous, allogeneic tissue, or tissue substitutes to raise the external nose to improve the appearance of the nose. Rhinoplasty surgical incisions include nasal column incision and intranasal incision. The nasal incision (near the nasal column) is generally used because of the hidden incision and no traces on the outside.

Rhinoplasty and rhinoplasty

Rhinoplasty, Rhinoplasty, rhinoplasty is an act of adjusting or reconstructing the appearance of the nose
The main appeal is to make the nose more beautiful, which is often used to solve some nasal injuries caused by accidents, or the appearance of the nose is not beautiful due to congenital defects.
In terms of surgery-rhinoplasty is divided into closed surgery and open surgery. Traditional open surgery mostly uses L-shaped silicone prostheses to be placed on the bridge of the nose and nose. To achieve a full nose shape, or because of prolonged friction between the implant and the nose, resulting in a thin nose or even perforation. Professor Xu Jianwei said that the tip of the nose needs to support the nasal column with a strong support material (autologous cartilage, medpor, etc.) so that the tip of the nose is covered without tension on the skin. Rhinoplasty injections are only effective for shaping the back of the nose and should be used with caution on the tip of the nose. There have been reports of necrosis of the nose caused by injection.
Rhinoplasty
Surgery rhinoplasty begins with the patient under general or local anesthesia. Generally speaking, an orthopedic surgeon first separates the nasal skin and subcutaneous soft tissue, puts it into the frame to perform a " remodeling" action, and sutures the incision, and fixes the newly completed nose with tape to promote healing. Depending on the needs of different patients, autologous cartilage transplantation is sometimes used, or concurrently with general fillers, to strengthen or change the contour of the nose. Autologous tissue is usually obtained from the nasal septum, but can be obtained from costal cartilage or ear cartilage if it is not adequately used.
Non-surgical rhinoplasty
Non-surgical rhinoplasty is injected with fillers, such as collagen, hyaluronic acid, and microcrystalline porcelain, to change and shape. Fill the filler with the flat part of the nose to create a sharp angle or smooth appearance. The entire process does not change the size of the nose, but it can still be used to correct some functional birth defects.
The fillers used in earlier attempts were mostly toxic substances such as paraffin and silicon. After 2000, doctors such as Dr. Alexander Rifkin and Dr. Andrew Inle developed a benign technology that uses modern fillers successfully. .

Rhinoplasty nose name and characteristics

The external nose is divided into five parts: the root of the nose, the bridge of the nose, the tip of the nose and the wings of the nose, and the nostril.
The root of the nose is a bony part, consisting of two nasal bones and a maxillary nasal process. The bridge of the nose is located between the root of the nose and the tip of the nose, and is composed of left and right nasal cartilage. The tip of the nose is the tip of the nose and is mainly composed of two pieces of nasal cartilage. Each nasal cartilage has a medial foot and a lateral foot. The two medial feet form the nasal column and the nasal tip bracket under the tip of the nose, and the lateral feet are separated from the left and right of the tip of the nose to form two nose wings, and the nasal septum cartilage is on the north side of the cartilage of the nose. The structure of the outer part of the nose is from the root of the nose to the nasal column, forming a prominent triangular pyramid. The skin covering two-thirds of the upper nose is slack and elastic, and the skin stretches and expands easily; while the skin covering the lower third of the nose is tightly attached to the underlying subcutaneous tissue, and skin expansion and expansion are not so easy. Nasal Aesthetic Standards: Nasal aesthetics should be examined from different perspectives. The base plane should be an equilateral triangle. From the side view, the following nasal signs should be evaluated: frontal angle of the nose, turning of the upper area of the nasal tip, nasal tip performance point, and nasal column-upper lip angle. The angle between the nasal tip presentation point and the nasal column-upper lip angle is the nasal column-lobular angle. The ratio of nose length to tip protrusion is close to 1: 0.67.

Rhinoplasty factors determining nose shape

The shape of the nose is significantly different due to different races. The different shapes of the nose are the result of the struggle between humans and nature. In terms of biological evolution, the warmer the climate, the wider the nostrils, and the shorter the bridge of the nose. For example, African blacks have wide and flat noses, in order to suck in a lot of warm and humid tropical air. The colder the climate, the narrower the nostrils and the sharper the bridge of the nose. For example, the Nordic nose is thin and high, which is to breathe the cold air, so that the cold air has more time to be warmed to adapt to the living environment.

What are the rhinoplasty methods

Rhinoplasty
Nowadays, rhinoplasty is most commonly used for materials such as Aibefu, hyaluronic acid, autologous collagen, and autologous fat. The rhinoplasty injection is effective and minimally invasive.
Rhinoplasty
In recent years, bulky rhinoplasty has been used. From the medical point of view, bulky material is currently the most ideal substitute for biological tissues. It was mainly used for blood vessel reconstruction during human organ transplantation. The bulk material is best compatible with the human body, non-toxic, non-carcinogenic, non-allergenic, and does not need to be replaced for life.
Rhinoplasty with silicone prosthesis
Silicone prosthetic rhinoplasty is the most commonly used in previous years. Silicone rhinoplasty is a safe and effective implant material. After laboratory and clinical experiments, it has proven to be compatible with human tissues and non-toxic. It is harmless, highly malleable and non-carcinogenic. In case of problems, it can be taken out completely for rest and replacement. Even if it is not used, the nose shape can be restored to the original shape without causing sagging skin on the back of the nose. However, only experienced doctors can avoid many complications caused by repeated surgery.

3D Rhinoplasty Gold 3D Nose Contouring

"Golden 3D nasal contour shaping" uses a three-dimensional sculpting technique to separate large wing cartilage (the key part of the nasal tip), lateral nasal cartilage, and septal cartilage through a concealed incision, and make appropriate adjustments to the soft tissue, and then add Auxiliary materials such as prostheses, in accordance with the golden aesthetic standards of "three courts and five eyes", plus personalized design, shape the perfect nose contour that suits the individual foundation.

Four steps to rhinoplasty

1. The expert designs no less than 4 angles and 5 curves for measurement. The authoritative experts from China and South Korea are highly aesthetically designed, and based on the age, personality, and facial features of the beauty seeker, the best surgical plan is comprehensively formulated.
2.Fine trimming and microscopic visual operation, make hidden incisions during the operation, leaving no traces after the operation; precise separation to avoid damage to the tissue, and beautify and trim the nose tip, nostril, nasal column, and bridge of the nose and nose.
3. Perfect nose shaping The perfect combination of the full nose and the facial structure, the nose design is not only for a good-looking nose, but also requires the nose and eyes, forehead, face and other parts to be harmoniously unified and truly personalized.
4. Top-level prosthesis Select top-level prosthesis material with the best tissue compatibility and safety, combined with expert surgical skills, precise placement, and organic perfect integration with its own tissue, safe, natural and beautiful.

Three advantages of rhinoplasty

1. Upright: The curvature of the bridge of the nose and the running of the bridge of the nose, the width of the nose and the shape of the nostrils, and the tip of the nose have a consistent height and erectness.
2. Pretty: The small and exquisite nose has the same sense of beauty, and strives to create a beautiful and elegant nose.
3. Roundness: The radian, nasal contour and angle of the nasal skin are smoothly connected, reaching the "three courts and five eyes" standard.

Rhinoplasty which nose is suitable for rhinoplasty

1, low nose: refers to the back of the nose to the tip of the nose, the entire bridge of the nose is relatively low. Strictly speaking, each ethnic group has an average nose bridge height. If it is lower than this value, it is called low nose. Some people take the height of the bridge of the nose of the Western nation as a standard, and think that their bridge is low, which is obviously inappropriate. In addition, determining the height of the bridge of the nose must be considered in combination with various characteristics such as face shape;
2. Saddle nose: It is a common nose deformity in China. Like the lower nose, the height of the back of the nose is lower than normal, and the bone and cartilage of the bridge of the nose are mostly sunken, but the tip of the nose is upward and shaped like a saddle;
3. Straight nose: The bridge of the nose is acceptable, but the shape is straight and lacks the proper cone feel. The highest point is not at the tip of the nose;
4. Low nose tip : Nose tip, the highest point of the nose is on the back of the nose;
5. Nasal root is low and flat nose: Nasal root is low and flat, nose tip and back of the nose are acceptable, eye distance is wide, nose body is short, seemingly out of proportion;
6. Wave nose: There are two depressions on the central axis of the back of the nose, making the central axis of the nose incomplete and smooth;
7. Nostril lying on the nose: Due to poor development of the nose, the nostril is not erected with a "eight" character, and the nose is wide and flat, which is common in secondary nasal deformities after cleft lip;
8. Nose toward the sky: Turn the nostrils upwards, as if the nostrils are facing the sky;
9. Large Nostril Nose: The nostril is large and the face is particularly uneven.
10. Big nose and nose: The nose is huge, and the nose and the bridge of the nose are disproportionate;
11. Short nose bridge : The bridge of nose is short, as if there is only the nose.
12. Failure of rhinoplasty: those who have undergone rhinoplasty surgery and whose nose is ugly due to failure;

Rhinoplasty adapts to the crowd

Rhinoplasty surgery is suitable for the crowd 1. Nasal root is low and flat nose: Nasal root is low and flat, eye distance is wide, nose body is short, and the proportion is out of proportion.
Rhinoplasty surgery adapts to the crowd 2. Low nose: refers to the nose from the root of the nose to the tip of the nose, the entire nose is relatively low.
Rhinoplasty surgery adapts to the crowd 3. Straight nose: The highest point is not at the tip of the nose, the shape is straight, and it lacks the proper cone feel.

Rhinoplasty anesthesia

Rhinoplasty usually takes 1-2 hours, and some complex procedures may take longer. Rhinoplasty can be performed under local or general anesthesia, depending on the size of the surgery and respect for individual wishes. If the doctor chooses general anesthesia, then you will be in a state of sleep during the entire procedure without feeling anything. If you choose local anesthesia, you will stay awake during the operation, but your nose and surrounding tissues will feel numb and not feel, but occasionally you will feel some discomfort, you just need to relax.

Rhinoplasty surgery

During the operation, peel the nasal bone and dorsal fascia, and then sculpt the nasal bone and nasal cartilage according to the medical aesthetics and the requirements of the operator and the doctor's technique, or directly implant the sculpted nasal scaffold to achieve the desired effect. Finally, the skin is sutured back into place.
Most of the current rhinoplasty techniques form an incision of about 1 cm in the inner side of the nostril at the junction of the nasal column and the nasal wing. After this incision, a wide cavity is separated under the nasal dorsal fascia or / and the nasal bone periosteum. Patients require sculpting of the prosthesis with the doctor's technique, or implant the implanted prosthesis directly. Some more complicated operations often require an incision in the nasal column, which leaves an inconspicuous scar on the nasal column after surgery.

Main operation steps of rhinoplasty

General rhinoplasty surgery needs to go through these steps:
First, before the rhinoplasty of the prosthesis, a personalized rhinoplasty plan should be formulated according to the facial features and personal temperament of the applicant, and the prosthetic material should be sculpted during the operation, so that the prosthetic material can accurately and firmly fit the nasal and dorsal bone Together. And achieve harmony with the facial form. Secondly, during the operation, local anesthesia is performed. The surgical incision is generally selected in the nasal column or nostril. After the material is implanted, the incision is sutured. It usually takes only ten to twenty minutes, it is safe and painless, there is no scar after operation, and the shape is natural and realistic. Disassembling is usually done within seven days, and basically recovered. After the operation, a cold pack should be used for local cold compresses, which should be changed to hot compresses five days later. It is not advisable to touch the nose within one week after surgery to prevent displacement of the prosthesis. Oral anti-inflammatory drugs are used for one week to prevent infection. Get in touch with your doctor or come to the hospital for follow-up visits.
Rhinoplasty (15 photos)

Rhinoplasty rhinoplasty effect photos

Rhinoplasty effect (5 photos)
This is a comparison of the results before and after rhinoplasty surgery.

Rhinoplasty nose aesthetic standards

Can we set a standard for the beauty of the nose? This is influenced by culture, customs, habits and aesthetic concepts. The ideal shape of the nose is inconsistent across every country, nation, and person. A standard nose shape normally includes the following aspects:
The length of the nose is 1/3 of the face length, usually 6-7.5 cm.
The width of the nose, the distance between the outer edges of the nostrils, is generally equivalent to 70% of the length of the nose, the width of the root of the nose is about 1 cm, and the tip of the nose is about 1.2 cm.
The height of the bridge of the nose is generally not less than 9 mm. It is generally 12 mm for men and 11 mm for women. The lower nose is usually less than 4 mm and should be corrected to 7-11 mm.
The nasal angle, that is, the angle between the nose and the face is ideally 30-33 degrees, and many women in China are below 30 degrees.
The height of the nose tip is ideally 1/3 of the nose length, 26 mm for men and 23 mm for women. Those with less than 22 mm have a low nose.
The normal shape of the nasal tip is spherical, the radius of curvature of the nasal tip is 8-12 mm, and the nostril is oval-shaped obliquely to the nasal tip, bilaterally symmetrical.
The outermost side of the nostril does not exceed the vertical line of the inner condyle, otherwise the wings are wide.
As far as our Han people are concerned, the normal and beautiful nose is a triangular pyramid with a bottom down, which is located in the middle 1/3 of the face; the ideal outer nose length is 1/3 of the face length; the ideal outer nose width, For the width of a glance, this is what the ancient Chinese painters called "horizontal three" and "vertical five"; the ideal nose shape is oblique at the top and the bottom is wide, and the slope intersects with the face at 25-30 degrees; the ideal nose tip The height is 1/3 of the length of the nose, the tip of the nose is round and round, the nostrils are oblate, and the nasal column and the upper lip are 90 degrees.

Rhinoplasty nose aesthetic curve

When studying a person's nose, what we are observing is not the isolated nose, but starting from the forehead, eyebrows, and eyebrow arches, passing through the middle structure of the face, then the nose, upper lip, and lower jaw; and the crotch; conducting an overall observation .
The contours of the external nose under different light and different positions are composed of curves. These curves are not only the curves required by surgical artists when planning for plastic surgery; they are also important standard curves for evaluating the effects of plastic surgery. Interruption or deformation of these curves will cause changes in the shape of the nose. The appearance may be natural only if the curved curve of the external nose is surgically restored to match the following aesthetic curves.
The characteristics of the nose can be expressed by the following aesthetic curves:
1) From the oblique position, it starts from the eyebrows or the arch of the eyebrows, extends down to the back of the nose, the tip of the nose, and then turns to the lower nasal column, ending at the junction of the nasal column and upper lip, forming a smooth "S" Shaped curve
2) Viewed from the front, the contour lines on both sides of the nose start from the eyebrow arch, along the nose bone, nasal cartilage, the outer edge of the nasal wing, through the nasal sulcus, and stop slightly at the junction of the nasal wing and upper lip. "S" curve;
3) The curve on both sides of the nose is connected to the contour line of the nose tip, forming a U-shaped curve with a small upward opening; and the curve on the tip of the nose is a midline symmetrical "gull wing" curve;
4) When viewed from the side, the "s" curve with the forehead, the root of the nose, the back of the nose, the tip of the nose, the junction of the tip of the nose and the nasal column, and the base of the nasal column as a line fully represents the three-dimensional image of the nose;
5) At the root of the nose, through the adjustment of the light, we can obtain an H -shaped edge-like curve, and the middle horizontal line of H is equivalent to the position of the root of the nose, which is the lowest point;
6) See if the shape of the nostrils is beautiful. For some people with large noses and small noses, the shape of the nostrils tends to be upside down and uncoordinated, not to mention beautiful; the shape of the nostrils has not been noticed in most patients at present, or not. Knowing that your nose is inadequate, it is easy to be ignored by medical staff and neglect changes, so the shape after rhinoplasty is always unsatisfactory.
Observed from the front of the root of the nose, whether from the surface of the external nose or from its bony structure, the sides of the nose are sloped upwards, forming a smooth connection with the arch of the eyebrows; A depression is formed in the middle of the frontal bone, which is roughly "V" shaped; but viewed from the side, the frontal protrusion of the frontal bone is still beyond the root of the nose. In addition, according to our measurement results, the most concave point at the outer nasal root is generally higher than the most concave point at the bony nasal root (this point is mostly in the upper and middle section of the nasal bone, rather than the anatomical nasal root point). The above are the characteristics of the root of the nose. These characteristics require us to pay attention when performing rhinoplasty, especially when rhinoplasty is performed: after positioning the visual nasal point (the most concave point at the outer nasal root), the nasal dorsal graft The uppermost point should be slightly lower than this (3-5mm) in order to form a more natural nasal shape. At the junction of the nasal graft and the eyebrow arches on both sides, attention should be paid to the creation of a natural smooth curve. In the oriental beauty crowd, the nose tip slightly protrudes from the dorsal side of the nose. From the side view, the protruding point of the nose tip is in front of the dorsal extension of the nose, and a corner is formed between the leaflet on the tip of the nose and the dorsal extension of the nose. The angle is about 5 ° ~ 10 °; the angle between the upper and lower leaflets of the nose tip is the nose tip angle, which is about 95 ° ~ 110 °; the angle between the leaflets below the nose tip and the nasal column is the turning angle of the nasal column, which is about 50 ° ~ 65 °; the angle at which the long axes of the nostrils on both sides intersect is 80 ° ~ 105 °, which is significantly different from the characteristics of the Caucasian race, with distinctive ethnic characteristics.
It is connected from the starting point of the upper end of the nasal column to the nasal tip points on both sides. The included angle between the two lines is 60 ° ~ 85 °. The introduction of this angle is of great significance in judging whether the nasal tip is prominent: the nose becomes flat when the angle becomes larger; The nose tip protrudes as it shrinks. The nasolabial angle (the angle between the nasal column and the upper lip) is generally 70 ° to 90 °, which is smaller than the Caucasian race. The size of the nasolabial angle is related to the drooping of the nose tip. The smaller the angle, the more the nose tip will look drooping.
The several corners between the nasal column, the tip of the nose, and the back of the nose are the key points in nasal aesthetics. Whether the tip of the nose is upturned or not, the position of the tip of the nose is related to this. At the same time, the length of the upper and lower leaflets of the nose tip is also related to the drooping of the nose tip and the protrusion of the nose tip. But all these aesthetic indicators are closely related to the shape of the support structure of the nasal tip.

Rhinoplasty Six Imperfect Noses

I. Short nose: bridge of nose is too low, bridge of nose is too high
A low nose is a more common form of poor nose. The height of the bridge of the nose is less than 4 mm, the root of the nose is low, the tip of the nose is low, and even the nose is round and blunt.
Second, the small nose: the nose is too big, the nose is too low
The nose tip is too large and the nose tip is too low, which makes the facial features uncoordinated and affects the overall facial contour.
Third, the big nose: the nose is too large, the nose is too low, and the skin and soft tissues on the surface of the nose are hyperplasia. At the same time, there is hypertrophy of the cartilage, which is often accompanied by a wide nostril and enlarged nose.
Nose wings: Nose wings, nose wings too wide
The nose is in a more prominent position on the face, which is what is called "a flower on the face, which is headed by the nose." A wide nose can make the face feel unharmonious, and it can also make people look awkward.
V. Nasal column: The nasal column is too short
The nasal column is too short, which often makes our entire face appear three-dimensional, and affects the contour of the face in terms of visual effects.
Six, total nose: crooked nose, hump nose, total nose defect
It often manifests as a hump deformity on the back of the nose, a long nose, a drooping nose, a prominent nose bridge, a wide and long nose, or a drooping nose, giving a sinister and cunning feeling.

Rhinoplasty rhinoplasty

Rhinoplasty rhinoplasty prosthesis concept

When the nose changes from low to high, it is necessary to embed a certain thickness of filler in the tissue of the nose. This filler is called a prosthesis. The prosthesis must be made of materials that are harmless to the human body, have no rejection reaction, do not degenerate for a long time, have certain flexibility, are easy to shape, and are easy to remove.
In the early stage of the development of cosmetology and plastic surgery, people used rhinoplasty with materials such as paraffin, armour, fishbone, and animal bones. Practice has proved that these materials have various adverse reactions after being implanted into the human body, so they have been abolished. In the future, German doctors used ivory rhinoplasty to achieve good results and once attracted people's attention. However, due to the hard texture of ivory, time-consuming processing and shaping, and difficult sources, it is rarely used in practice.
After the Second World War, with the development of the chemical industry, chemical synthetic materials gradually attracted people's attention. First, some people used rhinoplasty for synthetic resin materials. However, due to the brittle texture, it is easy to break, and there is light transmission. Sex and other disadvantages, this material was quickly eliminated. In the future, people gradually turned their attention to silicone products with flexible properties. Initially, industrial black silicone was used. However, due to color problems and backward injection methods, the postoperative results were not satisfactory. The mixed liquid injection method and the liquid silicone injection method were once popular, but they were eventually eliminated due to unsatisfactory surgical effects and bad stimulation to human tissues.
At present, the world's unified use of silicon-based DMPR. The material is harmless to the human body, easy to be shaped, soft and strong, and does not deteriorate for a long time. It is an ideal filling material for aesthetic surgery. At present, hospitals in various countries make various models of rhinoplasty silicone according to the habits of doctors. Then, according to the specific conditions of each patient, the model is modified to a certain extent and directly used for surgery after strict sterilization.

Selection of rhinoplasty materials

Whether it's congenital or a flat and low-pitched nose caused by disease or trauma, people are always looking for the right material to uphold it.
There are two main methods of raising the nose: transplantation and implantation.
Transplantation method: tissue transplantation. Bone and cartilage tissue are mainly used for filling the nose.
Autologous bone tissue
Autogenous bone tissue rhinoplasty is one of the earlier materials used in rhinoplasty. Its main advantage is that it is easy to survive after transplantation, and no rejection occurs. The autologous bone tissue used for rhinoplasty is mostly taken from the sacrum and skull, but also from ribs and fibula. Autogenous bones have problems such as poor elasticity of the bone tissue and difficulty in shaping. Therefore, the appearance of the autogenous bones is not very natural, and the autogenous bones are inconvenient to obtain. The bone source is limited. Resection will cause secondary pain and even occur in the subject Complications, long-term bone resorption can also occur, causing changes in appearance, which is difficult for the recipient to accept. It is currently less used. However, for complex nasal deformities or severe saddle nose correction, autologous bone transplantation may still be required.
Autologous cartilage
Autologous cartilage is the most commonly used tissue in rhinoplasty. Its main characteristics are: it does not have blood vessels, and it can survive by providing nutrition through tissue fluid. It has no stimulating effect on tissues after implantation, can maintain its original volume and cell shape for a long time, and is easy to sculpt into the required size and shape. After that, the appearance is natural and realistic. Like autogenous bone tissue, autologous cartilage tissue transplantation may also undergo absorption and deformation.
Autologous fascial tissue
The fascia is hardly absorbed, but it will be compressed and thinned, and the volume will be reduced (about 20%). It may require multiple surgeries when used alone. At present, it is mostly used to wrap cartilage or artificial materials, which can reduce cartilage absorption and make the appearance natural. , Smooth. The earliest cut site was the broad fascia. Superficial temporal fascia is now used, and the surgical marks are small.
Autodermal / dermal fat
Excessive absorption after transplantation, currently less used, is mainly used for patients with secondary rhinoplasty. It can also be used in the same way as fascial tissue. The cutting site is based on the principle of concealment, which is mostly under the tail spine and in the hip folds.
Characteristics of artificial materials
Artificial materials are sometimes an invaluable treasure for nasal plastic surgeons. They can partially replace tissue transplants, and they are even better than autologous materials in terms of physicochemical properties and long-lasting effects.
Solid silica gel
It is a rhinoplasty material commonly used at present. It is a polymer silicide. It has been used since 1972. After more than 20 years of observation, although its complication rate can reach 5% -20%, it has good biocompatibility, good chemical inertness, non-toxic and non-carcinogenic. , Non-teratogenic, low price, is still one of the preferred clinical rhinoplasty materials.
Artificial bone material
Mainly refers to hydroxyapatite. It is the main inorganic component of human bone tissue, so it has good biocompatibility, and is non-toxic, non-teratogenic, allergenic, and carcinogenic.
Expanded polytetrafluoroethylene (ePTFE)
High-density polyethylene
In short, the selection of rhinoplasty materials should be based on the patient's own conditions and economic conditions, combined with the diagnosis, experience and knowledge of the doctor, before making a decision.
Advantages of rhinoplasty with bulking material:
a. Softer than silicone rubber and more natural after operation.
b. No redness of the tip of the nose after surgery.
c. The organization can grow into the material, and the long-term fixation is better.
d. The tip of the nose after surgery is very soft. If the patient does not speak for himself, no one can tell that he has received rhinoplasty.
e. Surgery is also easy for patients with very thin nasal skin.
Disadvantages of rhinoplasty with bulk material:
a. Due to good curing, the material and the human body become one body, which is more difficult than silicon rubber when it needs to be removed.
Of course, because one-time surgery can be permanently maintained, this problem only occurs when the operation is not satisfactory and requires further surgery. But surgeons who have extensive experience with this material generally have special techniques for removal, so don't worry.
b. Higher price than silicone rubber.
c. Sculpture requires rich experience.

Rhinoplasty and rhinoplasty

Precautions for rhinoplasty and rhinoplasty

Be mentally prepared. Choose a reliable medical unit or doctor to perform the operation, so that you are full of confidence and security in the operation, eliminate fear, calm down, and actively cooperate with the doctor to achieve a beautiful wish. Never blindly consult a doctor to avoid adverse consequences;
Understand the factors that affect the price of rhinoplasty, and choose the best solution according to your financial ability;
Fully understand the common sense of rhinoplasty, read related books, it is best to interview people who have already undergone surgery, and to be familiar with the entire process of surgery;
There must not be any (with bacterial) lesions in the front part of the operation: such as folliculitis, edema, acne, acute ophthalmitis, sinusitis, rhinitis, nasal vestibule, etc
To prevent infection, women cannot undergo surgery during menstruation;
It is best to take a bath the day before surgery. Before going to the operating table on the day of surgery, wash the dirt and oil on the face with soap to minimize the number of bacteria. You should also cut your nose hair and clean the nasal cavity before surgery;
Do not take aspirin-containing drugs within two weeks before the operation, because aspirin will reduce the function of platelet coagulation;
Patients with hypertension and diabetes should inform the doctor of the condition at the initial diagnosis so that the doctor can confirm the surgical plan;
Make sure you are healthy before surgery and free of infectious diseases or other physical inflammation;
Do not apply makeup before surgery;

Rhinoplasty and rhinoplasty

Use ice packs as a local cold compress in the early postoperative period to reduce postoperative swelling, etc. Starting from the 5th postoperative day, a local hot compress should be applied to promote recovery.
Rest: those who are simply rhinoplasty may not be hospitalized, pay attention to rest at home after surgery.
The prosthesis has not been wrapped by the fibrous membrane and is in an unstable stage within one week after the operation. Therefore, you must be careful not to touch, squeeze, or hit the part.
If you have long-term discomfort after surgery, you should contact the doctor in time.
Aspirin and other drugs can inhibit normal coagulation function. If you take such drugs, it may cause continuous bleeding after surgery. Therefore, it is best not to take such drugs 2-3 weeks before rhinoplasty surgery.
Some diseases need to take Chinese medicine or this kind of steroid drugs. People with this kind of disease and diabetes may take longer to heal.
Although the menstrual period does not have much effect on the operation, there may be more bleeding during and after the operation, and the swelling may be more serious. Therefore, rhinoplasty surgery is best to avoid the menstrual period.
Rhinoplasty surgery generally bleeds more in men than in women, and it takes longer to reduce swelling. Depending on the rhinoplasty method, the length of the recovery period varies. Therefore, you should choose a suitable one according to your spare time and physical condition. For surgery, 3-4 hours before rhinoplasty, it is best not to eat, try to keep fasting, and don't wear any jewelry.
For about 2-4 weeks after rhinoplasty surgery, it is forbidden to wear glasses, and you must adhere to cold facial compresses. Keep your head up for about 5 days, and use 2-3 bed quilts to raise your head even when lying down. To the back or back, which will help to reduce swelling as quickly as possible.
Medication should be taken as prescribed, and aspirin or cold medicine containing aspirin may cause bleeding and should not be taken. When the swelling is not completely reduced, the nose may look a little skewed, or you may feel that the noses are gathered together. These are normal phenomena, so don't worry. If the nose is bleeding, gently wipe it. Nose boils in the nose, it is best not to pull it out forcibly, and do not touch it often with your hands.

Rhinoplasty rhinoplasty contraindications

Pupae are under 18 years of age at the developmental stage.
Infection on the face or body (if bloated or folliculitis).
The sebaceous glands in the nose are rich or have rosacea.
Those with allergies.
Those who are unstable or have doubts about filling materials.

Risks and prevention of rhinoplasty

The risk of rhinoplasty surgery is usually cosmetic. According to the American Plastic and Cosmetic Association, 10% of rhinoplasty surgery requires secondary surgery or repair. The health risks of rhinoplasty surgery include infections and poorly shaped nerves.

Rhinoplasty infection

This is a problem common to all surgical procedures. Surgery only thrived after the sterilization technology was gradually improved and the infection could be effectively controlled. Experts describe rhinoplasty itself as a sterile procedure. As long as the recipient is healthy and resistant, and there is no infection at the surgical site (such as folliculitis, edema, or skin damage), the doctor strictly performs aseptic operation during the operation, pay attention to the wound care after the operation is not contaminated, and use it if necessary. Antibiotic prophylaxis is generally non-infectious. In addition, the blood circulation on the human face is quite rich and has strong anti-infective ability, which is why the rhinoplasty is not easy to be infected.

Rhinoplasty injury

The nervous system of the human body is the "communication system" of the human body. The neural trunks and branches that occur from different parts of the central nervous system become more and more divided, and the points become finer and thinner, like spider webs throughout the whole system, region, department, and household. Only when the continuity of the nerve branches is interrupted, will the subordinates' "regional" sentiment be unreachable, the "central" cannot command the "place", and will be paralyzed. The "construction" of the rhinoplasty is in "remote areas", and there is no communication "cable" passing through it; further, the nerves of the nose are distributed in the soft tissue layer, and the "construction" of the rhinoplasty is under it, unless Doctors haven't seen medical training, otherwise the chance of rhinoplasty injury to the nerves is very small.

Nose rhinoplasty

Whether you can get a good-looking and satisfactory nose through rhinoplasty depends on the experience and skills of your doctor. Common problems are:
The bridge of the nose is too narrow, not soft, and looks "false" (unnatural), so that people know at a glance that it was done;
The root of the nose is too high and too high, and some reach the eyebrows, forming the so-called "Tiantian nose";
The root of the nose is high, the tip of the nose is low, and the appearance is indecent;
A slender face with a wide nose, a stupid nose and a facial disorder;
The nose is crooked.
The above-mentioned cases often occur during rhinoplasty (10% in the United States), which is related to the doctor's experience, the subject's own conditions, and the later recovery of care. Doctors will inevitably make mistakes. Plastic surgery calls these postoperative defects "secondary deformities after rhinoplasty." If the defect is noticeable, you will have to perform another operation to remove the silicone stent, repair or replace it.
1. Trimming: If the shape of the nose changes from high to low, from long to short, from wide to narrow, from crooked to positive, but using solid silicone, you can take out the stent to correct the problem and achieve the ideal Put it back after the shape. This operation is simpler than the first operation, and no obvious swelling reaction will occur after the operation, because the tunnel is ready.
2. Replacement: If the nose shape changes from low to high, short change, and narrow to wide, you must remove the old model and replace it with a new one. Rhinoplasty scaffolds are usually carved in advance under the stage and sent for disinfection, and can be implanted on the stage (without trimming or slight trimming). The advantage of this is that the operation time is short, and the second is that there is plenty of time to sculpt the model. "Patient" is sitting next to the doctor, who observes while sculpting, and puts the model on the patient's nose to see if it is suitable. If there is something wrong, he can trim it repeatedly and repeatedly until he is satisfied. Replacing the rhinoplasty stent Because the old stent masked the original shape of the nose, the doctor did not know what the replacement stent should be carved into, so it is best to bring the original photo before the rhinoplasty so that the doctor knows when carving. Otherwise, I had to take out the old stent on the operating table to show that it was more engraving than the original shape.

Rhinoplasty rhinoplasty

Large-scale necrosis of the nasal tissue will never occur after a solid silicone stent after rhinoplasty, but local ulceration and necrosis are possible. This is mainly due to inexperience of doctors:
The nasal tip of the stent is not smooth and sharp, and the tension is large, the skin is broken and the top is very thin, and the patient does not pay attention to it (not to find a doctor for treatment in time), and finally skin perforation and silicone exposure are formed;
The stent is too high, which leads to excessive tension of the skin on the back of the nose, leading to ischemic necrosis and rupture;
Infection is treated in time, causing ulceration, which is the most serious complication of rhinoplasty. As long as doctors and patients pay attention to prevention, these problems can be completely avoided.

Rhinoplasty rhinoplasty related expansion

Rhinoplasty general method

There are many methods for rhinoplasty surgery. Currently, "Ometin" rhinoplasty and bone powder injection rhinoplasty have been eliminated. After decades of development, prosthetic rhinoplasty has been continuously updated, and prosthetic materials have been continuously updated. Has become a very safe surgical method. However, the prosthetic rhinoplasty also has redness and skin perforation due to its own gravity effect, excessive lifting of the nose tip or rejection.

Rhinoplasty and Rhinoplasty

Rhinoplasty for rhinoplasty without prosthesis is called autologous tissue rhinoplasty, which was developed for rhinoplasty patients who reject prosthesis. Its advantages are: complete rhinoplasty with autologous tissue, no rejection, fast postoperative recovery, transplantation The tissues of the nose and the nose are completely integrated into one, natural and well-curved. You can knead or do "pig nose" movements as you like, just like innate. The disadvantage is that the height of the rhinoplasty cannot be too high. If the height is high, it usually requires 2 surgeries or additional incisions in the donor area. Some patients with nose deformities can be improved through acquired surgery. This is a very safe operation. The surgery does not cause much trauma to the body, and will basically not affect the normal work and life of those seeking beauty. What aspects need to pay attention to nasal deformity surgery?

Rhinoplasty rhinoplasty surgery question and answer

Surgery type
Answer: There are many types of noses that need plastic surgery, including nose bridge injuries, flat nose bridges, nose bridges too high, nose noses too large, nose noses too low, nose hooks, or trauma caused by nose scars, skews, etc.
How many kinds of plastic surgery for the nose?
When is the best time to shape your nose? (Age, physical condition)
A: The nose bridge needs to be raised, the nose is too large, and the nose needs to be narrowed and narrowed. The nose of the nose, such as Eagle Hook, is very pointed and long. It is like a nose of an eagle, but it is very Westernized, but it is not accepted by the Chinese. It needs surgery to make it softer and more Chinese. There is also the need to correct the nasal bone due to trauma to the nose.
Doctors recommend that the subject should avoid the menstrual period after adulthood, because during this period the subject has poor resistance, is also prone to bleeding, slow recovery, inflammation, and cold.
How long does it last?
Which ones are better now? Will there be sequelae to staying in the body? Can it be completely removed in the future?
Answer: The current rhinoplasty materials are roughly divided into two categories, self-organizing and synthetic materials. Autologous tissues include autologous bone tissue, autologous cartilage tissue, and autologous soft tissue. Autologous tissue is generally not used in clinical practice, because the use of autologous tissue requires an additional trauma, increased risk, and patients are generally unwilling. And synthetic materials are safer. At present, the clinically larger dosages are Gortex and Manto. They are softer than silicone, feel more authentic, and last a lifetime.
How long is the procedure?
Rhinoplasty surgery usually takes 12 hours, and some complicated operations are likely to require longer time. During the operation, the doctor will lift the skin of the nose from the nasal bone and nasal cartilage below it, and then at your request, the doctor will sculpt the nasal bone and nasal cartilage, and may indirectly implant the once-sculpted nasal scaffold to achieve the desired result. Effect. The skin is initially re-stitched into place.
What are the risks of rhinoplasty?
A: In fact, cosmetic surgery, like all surgical operations, has certain risks, which must be based on various reasons. However, we say that risk is related to life, so it is called risk, so the complications of rhinoplasty are not enough for the word "risk". As for the complications, we must consider all aspects of factors, there are doctor reasons and patient factors, all the doctors have to do is to reduce the occurrence of complications in accordance with the operating procedures.
Basic principles of rhinoplasty surgery?
a. Before the operation, the coagulation function should be checked routinely. The nose deformity caused by the disease should be treated first to eliminate the pathogen. Local infection in the nose should also be treated first.
b. Surgery is best performed when the patient is an adult. Because the repair is too early, after the face develops, the repaired nose may be deformed again.
c. In severe nose collapse, the skin and soft tissues will sag upward. In this case, surgery must be performed in stages. The nose is first separated, moved to a normal position, and then implanted.
d. The sterilization must be strict during the operation. If there is infection, the filler will come out of necrosis.
e. Before inserting the filler, attention should be paid to the separation level, cavity size, and symmetry. The cavity formed after separation should be suitable for the placement of the filler, not too tight or too loose.
f. According to the shape and size of the collapse of the bridge of the nose, etc., appropriate fillers are placed, and the wound is sutured to fix the shape of the nose. Penicillin should be injected after surgery to prevent infection.

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The conventional prosthetic rhinoplasty surgery is permanent, but it is inevitable that there are various reasons for the failure of rhinoplasty, and the rhinoplasty prosthesis needs to be removed. Rhinoplasty
After removing the rhinoplasty prosthesis, the nose can be restored to its original shape.

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People commonly call this kind of nose "garlic nose". The reason is that the skin is thick, the amount of subcutaneous tissue is large, the cartilage scaffold is thick and tends to bulge outward. Hypertrophic nasal tip correction is called tipreductlon. The most challenging operation for treating this type of nasal tip is surgical operation, which involves marginal or interchondral incisions. Fully exposed and free nasal cartilage and nasal cartilage, and evenly cut off the fibrous adipose tissue in all parts. Remove the 1 / 2-2 / 3 of the cartilage of the nasal cartilage and rotate the lateral foot to the medial and head side. Cut the cartilage intermittently at the fornix of the nasal cartilage, and do not cut it. To strengthen the nostril or transverse nostril can not become longitudinal, wedge resection at the base of the nose; if the tip of the nose is not high, you can pad the cut cartilage on the surface of the fornix to raise the nose.
There is still much content about the beauty of the nose tip, and I won't repeat it here. In short, nasal tip cosmetology is the same as rhinoplasty: complex and diverse, concealed and delicate. Plastic surgeons are required to have a deep understanding of the aesthetics of the nose and have specialized surgical instruments.

Rhinoplasty affects the price of rhinoplasty

I. Personal situation
Before the operation, the plastic surgeon will communicate with the beneficiary in detail, and design a specific surgical plan based on the individual's nose type and expected results. Different nose types, rhinoplasty schemes are different, and the difficulty and time of surgery are different, so the price of prosthetic rhinoplasty is also different.
Selected hospital
Depending on the medical institution chosen by the beauty seeker, the experts and equipment for treatment will not be the same. In order to ensure the surgical effect and safety, it is essential to choose a formal professional plastic surgery institution. Different hospitals provide different equipment, materials and technologies, so the cost of surgery will vary.
Third, the materials used
1. Silicone prosthetic rhinoplasty material, which is a polymer compound. After years of experimental research and clinical verification, it has proven to be very compatible with human tissues, non-toxic, anti-aging, non-deformation, and plastic. Strong. At present, there are three differences between imported rhinoplasty, domestic production and joint venture, so the price of different prosthetic rhinoplasty materials also varies.
2. The bulky rhinoplasty material, which has a very close connection with the human skin after filling, and will not cause the prosthesis to move even if it is subjected to a large impact. However, because this material manufacturing process and surgical material manufacturing are bothersome, the price of surgery is generally higher than that of silicone prosthetic rhinoplasty.
3. Autologous cartilage rhinoplasty. This method is mainly used in nasal tip shaping and other projects to prevent nose deformation and perforation. When dorsal rhinoplasty, since autologous cartilage rhinoplasty needs to be removed from autologous tissue, many people will not choose it.

Rhinoplasty injection

Rhinoplasty (or nasal surgery) was first performed in ancient India. The herbalist Sushruta (ca.800 BC) was recorded in the Sushruta handbook (ca. Sushruta and his students were developing and applying orthopedics at the time.Due to many cultural factors such as religion at the time, orthopedics were often used to reconstruct the nose, genitals, earlobe, and so on.
De Medicina (Medicine) (14 AD), published during the Roman Empire (27 BC-476 AD) by the scholar Cornelius Celsus (circa 25 BC-50 AD) ), Which describes plastic surgery techniques and procedures for the correction and reconstruction of the nose and other parts of the body.
The description of rhinoplasty is also described in the 70-volume "Synagogue Medicae", the royal physician Oribasius (approximately 320-400 AD) in the Byzantine Royal Academy of Rome, mainly describing how to use the surgical features without impairing facial appearance How to perform debridement of the wound, how to remove damaged tissues, and prevent the worsening of infections, such as ways to accelerate wound healing, and how to promote the self-healing ability of the face (nose, eyebrows, lips) to restore the patient's normal appearance.
However, in the Middle Ages (5th-15th century AD), after the collapse of the Roman Empire (476 AD) due to the chaotic situation, the ancient Indian herbalist Sushruta spread to Europe, and it was written in Old English by the Anglo-Saxon physician's manual until the 10th century. Bald's Leechbook (circa 920 AD) describes the plastic repair of cleft lip; as a medical compilation, the "Leechbook" book classifies medical diseases and treats significant external medicines, provides herbal remedies, and provides supernatural mantras (prayer), When needed.
In the 11th century, the Arabic physician Ibn Abi Usaibia (1203--1270) in Damascus translated Sushruta's handwriting into Sanskrit into Arabic. At that time, Sushruta's handwriting was compiled into 'Cerrahiyet-UL Haniye (Royal Surgery, 15th c .), And improved its surgical technique by adding breastmilk content.
In Italy, Gasparo Tagliacozzi (1546 to 1599), teaching surgery and human anatomy at the University of Bologna, publishing Curtorum Chirurgia Per Insitionem '"(The Surgery of Defects by Implantations, 1597), technical applications are often used for processing Repair and reconstruction of soldier's facial trauma.
Over time, Indian rhinoplasty techniques in the fifth century BC-characteristic nasal flap transplantation-were once again found in the 18th century Mysore war (1789-1792),
The East India Company surgeons Thomas Cruso and James Findlay at the time witnessed living in the United Kingdom in India with a rhinoplasty procedure in Pune.
Published photos of the rhinoplasty and the results of his nose reconstruction in the Madras Gazette; subsequently, in October 1794 in London's "Gentleman's Magazine", the surgeon Thomas Cruso and James Findlay published a graphic report describing improvements in nasal flap grafting techniques that began to spread in ancient India by Sushruta twenty-three centuries ago.
Father of Rhinoplasty Sushruta (ca. 800 BC)

Advantages of rhinoplasty injection

1. Injection rhinoplasty is safe and has few side effects. Hyaluronic acid injection and rhinoplasty with collagen injection are very popular. These two methods have no side effects on the human body. The filler can be well compatible with skin tissue, and it has a cosmetic effect on the skin. No harm, the allergic reaction rate is very low. It is usually broken down by the human body for about one to three years.
2. Injection rhinoplasty is effective and convenient. The rhinoplasty effect can be seen immediately after the injection. The rhinoplasty injection only takes about 20 to 30 minutes, which is very convenient. Rhinoplasty injections also avoided the risks of surgery and greatly improved safety.
3. Injection of rhinoplasty is painless and no recovery period is required. Rhinoplasty injections do not require surgery, and injections are like injections without much pain, and most people can accept them. And after rhinoplasty injection, you can continue to work and live normally, and follow the guidance of experts to care, without inconvenience to your daily activities.

Rhinoplasty success criteria

Generally, the nose should be 1/3 of the face length, and the adult nose length is about 6 to 7.5 cm. The width of the root of the nose is about 1 cm, and the maximum width of the nose is 70% of the length of the nose between the sides of the wings and the nose is about 1/3 of the length of the face. Nasal root and nasal bridge height are 12 mm on average for men and 11 mm on average for women.
Medical standards and personal preferences. The shape of the nose, height, coordination with the forehead and the entire face all need to be considered. In addition, because each person's aesthetics are different, they need to be distinguished according to the different circumstances of each person. The most basic requirement for a successful rhinoplasty is the "three nos" standard: no shaking, no crooking, no fake.

The difference between rhinoplasty and rhinoplasty

Autologous cartilage rhinoplasty-autologous dermal tissue, cartilage tissue;
Silicone Prosthesis Rhinoplasty-Silicone rubber prostheses can be preformed with various shapes and models with nose tip, wing, nasal column, etc. There are currently two commonly used, one willow shape, the other One is the "L" shape. Although rhinoplasty is a simple operation, improper handling will increase the chance of complications such as skin rupture, necrosis, and erosion after the prosthesis is moved, skewed, infected, and rejected.
Expanded prosthetic rhinoplastyThe materials used in expanded rhinoplasty are the most compatible with the human body, non-toxic, non-carcinogenic, non-allergic, and do not need to be changed for life. The texture and feel of these materials are very close to normal nasal body tissues. The bulking rhinoplasty is beautiful and natural after surgery, and it is difficult to detect. It has a special microporous structure, and the tissue cells and blood vessels of the body can grow into it, forming a tissue connection. Just as perfect as self-organization. The bulky rhinoplasty material is not moved or deformed, and it is seamless with the nasal body tissue, and it is impossible to penetrate the skin. There is no "transparency" of silicone, light weight, and no drop feeling.

Rhinoplasty rhinoplasty price

1. The region is also affected to a certain extent. There are some differences in the plastic surgery technology between developed cities and second-tier cities, and the prices will be different.
2. There are two types of rhinoplasty: prosthetic rhinoplasty and injection rhinoplasty. The cost of rhinoplasty is determined by the different materials of the prosthesis you choose. The price of rhinoplasty should be determined according to the actual situation of the applicant.
3. At present, the two commonly used rhinoplasty methods are prosthetic rhinoplasty and injection rhinoplasty. Even if the same rhinoplasty method is chosen by beauty seekers, the price will vary depending on the rhinoplasty materials.
4. The nose height of the seeker is different. In the clinic, the doctor will choose a suitable rhinoplasty method for the seeker. Different methods will have different prices.
5. Different hospitals have differences in medical qualifications, doctors' technical level, and medical service environment. Therefore, the price of rhinoplasty is different. Selecting a regular plastic surgery hospital for rhinoplasty has a higher price.

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